Exploring the Uncommon: Mandibular Osteomyelitis in Pediatric Patient – A Case Report

Authors

  • Septyan Dwi Wicaksono Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Padjadjaran, Bandung, 40132, Indonesia
  • Asri Arumsari Oral and Maxillofacial Surgery, RSUP Dr. Hasan Sadikin, Bandung, 40161, Indonesia
  • Farah Asnely Putri Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Padjadjaran, Bandung, 40132, Indonesia
  • Muhammad Syafrudin Hak Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Padjadjaran, Bandung, 40132, Indonesia

DOI:

https://doi.org/10.32553/ijmbs.v8i5.2845

Abstract

Introduction: Osteomyelitis is often found in 60-70% of all body regions, but in the jaw area, it rarely occurs, especially in children, and with the development of antibiotics, the incidence of jaw osteomyelitis is decreasing. Osteomyelitis is an inflammatory bone condition involving the medulla and periosteum, one of the causes of which is bacterial infection. The diagnostic support with the best accuracy in this case is a CT scan, with precise imaging of the lines of the lytic lesion, medullary sclerosis, and bone sequestra.

Case: A 4-year-old girl patient complained of swelling on the left cheek and a bluish colour on the chin. The patient complained of losing six primary teeth in the lower region, with greenish discharge and bad breath. CT-Scan results showed destructive lytic lesions in the ramus, angle, corpus, left mandibular symphysis, and hyperostosis. The patient was diagnosed with osteomyelitis of the mandible.

Case Management: Sequesterectomy and debridement under general anaesthesia, with anatomical pathology results showing mandibular osteomyelitis due to Actinomyces sp. The patient experienced no complaints and significant healing results from treatment.

Conclusion: One of the bacteria that plays a role in mandibular osteomyelitis is Actinomyces sp. Proper diagnostic support and surgical planning can determine maximum postoperative

results.

Keywords: mandibular osteomyelitis, pediatric, sequester ectomy, Actinomyces sp.

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Published

2024-10-15

How to Cite

Wicaksono, S. D. ., Arumsari, A. ., Putri, F. A. ., & Hak, M. S. . (2024). Exploring the Uncommon: Mandibular Osteomyelitis in Pediatric Patient – A Case Report. International Journal of Medical and Biomedical Studies, 8(5), 18-23. https://doi.org/10.32553/ijmbs.v8i5.2845

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